ROSE J ELAPUNKAL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

First Name

ROSE

Middle

Last Name

ELAPUNKAL

Business Name

ROSE J ELAPUNKAL

Original Issue Date

08/06/2018

Effective Date

07/25/2024

Expiration Date

09/30/2027

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2024